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Drum Roller Checklist

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SAP U& E Daily Safety Inspection Checklist (Drum Roller)

Equipment Name: Equipment Serial No: Date From:


Crane 3rd Party Certificate Detail: Operator Details-Name: Date Till:
Certificate Issued Date: Operator 3rd Party Certificate Issue Date:
Valid Till: Expired Date:
Crane Operational Manual: Crane Maintenance Log:
Item Motor Vehicles Saturday Sunday Monday Tuesday Wednesday Thursday Friday
1 Cleanliness
2 Seats & Seatbelt Conditions
3 Operator Restraint Provided
4 Instruments Operational & Labelled
5 Levers / Controls Operational
6 Pedals in Good Condition
7 Brake (Hand/Foot)
8 Clutch
9 Steering
10 Windows / Wipers / Washers / Mirrors
11 Front & Reversing lights
12 Warning lights / Reflective Triangle
13 Battery
14 Back Up Alarm
15 Horn
16 Rear View Mirrors
17 Fire Extinguisher / First Aid Kits
18 Operator Instruction (available)
19 Turn Indicator
20 Reflective Orange Triangle
21 Handrails & Steps
22 Exhaust Instructions:
23 Engine Guarding 1.- Indicate every day with ‘Ok’ if ok; ‘N’ if not
Drivers free from leaks (Oil, Coolant, ok; ‘-‘ if not applicable. Initial in the last row at
24
Fuel…) the bottom every day
25 Transmission Control 2.- This checklist must be kept in the vehicle
26 Tyres, Front, Rear, Brakes until the end of the week. After the last day (=
27 Wheel Mounting, Studs, Nuts Sunday), the checklist must be signed by the
28 Drum/Tires/Wheels Equipment Operator and verified by the
29 Emergency Break Supervisor. The filled out form shall be filed by
30 Parking Break the relevant department

Remarks * Is not needed Safety Officer’s signature


Operator Signature in a daily basis is only to verifying
operator's proper checking
** Competent person’s signature is needed
in a monthly basis only
SAP U& E Daily Safety Inspection Checklist (Drum Roller)

Safety Officer *
Competent Person**
Item Specific Equipment Saturday Sunday Monday Tuesday Wednesday Thursday Friday
1 Hydraulics:
2 Cylinders & Hoses
Connections (check for excessive wear, leaks
3 and creep)
4 Non-return valves
5 Warning Devices:
6 Horn
7 Motion Alarm
8 Flashing Amber Beacon
9 Warning Signs:
Danger: Beware Overhead Wires &
10 Underground Services
11 Crush point hazard sign
12 Seat Belts Must Be Worn
13 Rollers:
14 Pivots
15 Connections
16 Safety Pins
17 Rollers
18 Rotating Components Warning
19
20
21
22 Instructions:
23 1.- Indicate every day with ‘Ok’ if ok; ‘N’ if not
24 ok; ‘-‘ if not applicable. Initial in the last row at
25 the bottom every day
26 2.- This checklist must be kept in the vehicle
27 until the end of the week. After the last day (=
28 Sunday), the checklist must be signed by the
29 Equipment Operator and verified by the
Supervisor. The filled out form shall be filed
30 by the relevant department

Remarks * Is not needed Safety Officer’s signature


Operator Signature in a daily basis is only to verifying
operator's proper checking
** Competent person’s signature is needed
Safety Officer * in a monthly basis only

Competent Person**

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